May 23, 2012

Plea is made for sparing drug courts the budget ax

State budget cuts are coming. How harsh they will be is yet to be known.

The state legislature will begin reviewing the budget immediately upon convening next year for the legislative session. Some review has already taken place. The Senate Appropriations Committee has been taking testimony in an effort to get a jump start on next year. Along with the state officials and social workers testifying before the committee were two self-proclaimed recovering alcoholics to pleaded with the committee not to cut the state drug court and treatment system.

Matt Brozovich of St. James says alcoholism led him to steal $10,000 from his employer. He turned himself in and entered drug court, which he says changed his life. Brozovich now is in his fourth year of sobriety. He tells the committee that without the drug court system he would be incarcerated or dead.

Similar testimony comes from Jackie Johnson of Jefferson City, 27 years without a drink or hit. She says she now is a productive member of society who prizes her family above all.

Both tell committee members that funding drug courts and treatment centers is cheaper than paying for the social costs of alcoholism and drug addiction.

Download/listen Brent Martin reports (:60 MP3)

Mental health system transformation coming to Missouri

Delivery of mental health care in Missouri is changing, thanks in large part to a $14 million dollar grant from the federal government.

A federal grant, 240 people meeting to discuss mental health issues and public hearings throughout the state: it all resulted in a Comprehensive Plan for Mental Health approved by the Substance Abuse Mental Health Services Administration.

Diane McFarland has been heading up Missouri’s move to change mental health, with a top priority of removing the stigma that prevents people from seeking treatment for mental illness. That stigma, says McFarland, prevents people from seeking help and prevents friends and relatives from understanding how to help those struggling with mental problems.

Also high on the agenda:  integrating health care with mental health care and teaching people how to better diagnose and treat their own mental health problems.

McFarland says the obstacles to mental health treatment need to be torn down. She says those obstacles frustrate those seeking treatment. She says frustration can build, keep the mentally ill from getting the help they need and ultimately lead to a trip to the emergency room.

McFarland says she’s excited about the changes coming to Missouri mental health care.

Missouri’s Mental Health Transformation Initiative Web site.

Download/listen Brent Martin reports (:60 MP3)

Mental Health Director insists future of Bellefontaine is bright

The State Mental Health Director insists the future for the Bellefontaine Habilitation Center is bright, though its mission will change significantly.

No longer slated to be closed, the Bellefontaine Habilitation Center in St. Louis will get a new, $18 million facility. The center will focus on severely mentally disturbed patients; 50 to 70 of them, rather than the 300 it treated at its peak population.

State Mental Health Director Keith Schafer understands the parents of Bellefontaine patients aren’t pleased.

"It will be very difficult to convince those parents, to make the parents feel good about the fact that we’re dealing with a downsized facility," Schafer tells the Missourinet.

Schafer says the state took a necessary step March 1st when it eliminated 125 positions.

"We had to reduce our workforce to a level that’s comparable to every other hab center in the state," Schafer says, "That was traumatic, but it’s done."

The Bellefontaine Center is aging. Schafer says it needs modern facilities.

"This, I think, will be a turning point for Bellefontaine for the future," says Schafer.

Schafer convinced Governor Blunt not to move ahead with his plans to close Bellefontaine. Blunt had threatened Bellefontaine’s closure after numerous reports of abuse and neglect of patients at the center became public. Instead, many patients have been moved to private facilities. Patients who need intense care and can’t live in the community will remain at Bellefontaine.

Download/listen Brent Martin reports (:60 MP3)

State representative remains unhappy with Bellefontaine decision

A state representative who has been critical of the Mental Health Department’s plans for the Bellefontaine Habilitation Center in St. Louis is more in agreement with the department’s director than it might seem.

Rep. Gina Walsh (D-St. Louis) opposes plans to downsize Bellefontaine, plans that went into effect in March. Walsh objects to the elimination of 125 positions as well as the transfer of 150 mentally disabled patients from Bellefontaine to private care. The state made the moves after abandoning plans to form a public-private partnership at Bellefontaine. That fell through when none of the agencies that responded to a request for proposals met state standards.

The State Department of Mental Health plans to build a new, $18 million, facility at Bellefontaine. It will care for 52 profoundly disabled mental patients. Bellefontaine at one time cared for 300 mentally ill patients.

Walsh supports state-run facilities and doesn’t believe private agencies can handle the difficult cases that are routine at Bellefontaine. She objects to private care even when it’s pointed out that in the past patients have been neglected and abused at the center.

"If that is the case, then we need to staff them properly. We need to train the staff properly and we need to pay them a living wage," Walsh says, "Those are three things that we don’t often do in this state."

She gets no argument from Mental Health Director Keith Schafer who says direct care staff get about $10.20 an hour.

"That’s a little bit above McDonalds," Schafer says, "but the work these folks have to do is extremely stressful."

Schafer says there’s no doubt mental health workers need more money. Schafer says he’s disheartened by the fact that few mental health workers now make work with the Department of Mental Health their career. He denies, though, allegations that the reduction of the Bellefontaine workforce places any patient at risk. Schafer points out only 34 of the 125 positions eliminated were occupied. Bellefontaine now employs 520 and Schafer says that is plenty to meet the needs of the facility.

Walsh, though, says insufficient staffing levels create a poor environment for patients.

"There’s your answer right there," Walsh says, "If you have the right amount of employees, these incidents (abuse of patients) will reduce." 

Download/listen Brent Martin reports (:60 MP3)

Lawmakers approve $22.5 billion spending plan

A $22-and-a-half billion spending blueprint for the coming fiscal year has been approved by the legislature and sent to Governor Blunt.

The debate grew noisy in the House, but was quiet in the Senate as the legislature put the final touches on the budget which begins July 1 st . Republicans in the House earlier had brushed aside harsh criticism from Democrats on the education bills. Spending plans for public schools and state colleges and universities were approved and sent to the Senate, which quickly picked up the bills and approved them.

On Wednesday, Democrats again lashed into Republicans, this time harshly criticizing spending bills that pay for health, mental health and social services. The mental health budget, contained in HB 2010 , totals $1.15 billion. Democrats say that’s not enough to provide the breadth of services needed for the mentally ill or to pay those who work in the state’s mental health facilities.

Democrats reserved their harshest criticism for HB 2011 , which contains spending for MO HealthNet, the new name for Medicaid. That budget bill totals nearly $7 billion, but Democrats argue the state has the money to restore the Medicaid cuts approved by Republicans in 2005.

Approval of both bills came on strictly party line votes.

Though the House debate featured sharp partisan barbs, the Senate gave quick approval to the budget bills without rancor, often without any debate at all.

The budget sent to Governor Blunt totals less than the document he proposed to the legislature. Concerns about the economic downturn, both nationally and in Missouri, led lawmakers to cut nearly $500 million from Blunt’s proposal.

The state operating budget is contained in HB 2001 to HB 2013

Download/listen Brent Martin reports (:60 MP3)